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New Hampshire rates for HCPCS L5690

Addition To Lower Extremity Below Knee Waist Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.17 / $88.17 / $105.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $68.42 / $88.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.60 / $156.60 / $185.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.42 / $71.42 / $74.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $71.13 / $103.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.79 / $126.79 / $391.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $78.13 / $92.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.28 / $129.01 / $164.19